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Drug interactions

Etoposide + Fedratinib

Severity: Moderate

Etoposide and Fedratinib: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Fedratinib is a moderate CYP3A4 inhibitor and may increase etoposide exposure. This may worsen myelosuppression, which is already a concern with fedratinib.

What this interaction means in plain words

Etoposide and Fedratinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Etoposide belongs to Oncology; Fedratinib belongs to Oncology.

Evidence level: Low

Why it happens

Inhibition of CYP3A4 decreases etoposide clearance.

What to do

Monitor blood counts frequently and reduce the etoposide dose if toxicity develops.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Etoposide with Fedratinib?

MediHelp rates the interaction as moderate. Etoposide and Fedratinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Fedratinib is a moderate CYP3A4 inhibitor and may increase etoposide exposure. This may worsen myelosuppression, which is already a concern with fedratinib.

How serious is the interaction between Etoposide and Fedratinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts frequently and reduce the etoposide dose if toxicity develops.

What other medicines interact with Etoposide?

MediHelp also lists interactions of Etoposide with, for example, Adenovirus types 4 and 7 live, Pentostatin, Cyclosporin. The full list is on the Etoposide page.

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